This bill requires the Louisiana Department of Health to set minimum reimbursement rates for nonemergency medical transportation services used by Medicaid recipients. It establishes a minimum payment of $14.50 per trip plus $2.10 per mile for transportation providers. The Louisiana Department of Health must implement these changes by October 1, 2026, through a Medicaid state plan amendment. This policy change directly affects transportation providers serving Medicaid patients and the state's healthcare administration.
This bill requires Louisiana Medicaid to cover FDA-approved weight loss medications for eligible adults over eighteen. To qualify, patients must have a BMI of 30 or higher with at least one related health condition like diabetes or hypertension, or a BMI of 35 or higher without additional conditions. Coverage will require prior authorization limited to verifying these eligibility criteria, with initial approval for six months and continued coverage depending on documented clinical improvement. The bill also prohibits step therapy requirements for these medications and mandates that the Department of Health implement the coverage while maintaining fiscal sustainability.
HB 775 modifies Louisiana law to expand when minors can consent to medical care without parental permission. It allows minors aged 13-17 to consent to treatment for pregnancy, sexually transmitted infections, substance misuse, and certain emergencies (like abuse or neglect), while requiring parental access to medical records. The bill also prohibits schools or facilities from providing preventive care to minors without parental consent and shields healthcare providers from liability for following these rules. It repeals prior provisions that permitted broader minor consent or school-based care without parental involvement. This directly affects minors, parents/guardians, healthcare providers, and schools in Louisiana.
HCR 120 establishes the PACE Task Force to study GLP-1 medications, which are drugs used for diabetes and weight loss that have seen a massive increase in demand and cost in Louisiana. This concurrent resolution directs the task force to investigate how these drugs affect insurance premiums, accessibility for different income groups, and the long-term financial impact on both public and private insurers. The group will consist of representatives from state agencies, health plans, and medical providers, who will meet to analyze pricing differences between diabetes and weight loss uses before submitting their findings to the legislature by February 2027.
HB 198 requires Louisiana's Medicaid program to reimburse ambulatory surgical centers at least 100% of the Medicare rate for gastroenterology procedures. This directly affects outpatient surgical centers providing these specific medical services and ensures they receive consistent, updated payments. The bill mandates annual reimbursement adjustments to match Medicare rate changes and requires the Louisiana Department of Health to implement these changes by October 1, 2026. It also authorizes the Department to create necessary rules under state administrative procedures. This policy change standardizes payments for a defined set of procedures, aiming to maintain provider access to Medicaid coverage.
SB 4 changes Louisiana's water fluoridation policy by ending the state mandate for fluoridation in public water systems. Instead, it requires local voter approval via election for any system to fluoridate, with exceptions for systems already meeting natural fluoride levels. This directly affects public water systems serving over 5,000 connections that currently fluoridate or need to adjust fluoride levels. The bill takes effect January 1, 2027, replacing the previous requirement with a local decision process.
SB 194 requires Louisiana state agencies to verify the U.S. citizenship or "satisfactory immigration status" of applicants for Medicaid, SNAP, and other public benefits like housing or food assistance. If verification fails after a single reasonable opportunity period, the state must refer the applicant's information to U.S. Immigration and Customs Enforcement (ICE) and terminate benefits. The bill specifies that "satisfactory immigration status" includes lawful permanent residents, Cuban/Haitian entrants, and those under Compact of Free Association agreements. Agencies must also provide monthly reports to the Secretary of State for voter list maintenance and submit annual reports to legislators on enforcement actions. This bill directly affects individuals applying for federal or state public benefits who cannot prove citizenship or qualifying immigration status.
This bill allows terminally ill patients (with a prognosis of one year or less) in Louisiana healthcare facilities to use medical marijuana under specific conditions. It requires facilities to permit use while prohibiting smoking/vaping, documenting it in medical records, and storing it securely in locked containers. Facilities must follow state guidelines but are not required to provide recommendations or include marijuana in discharge plans. The law acknowledges federal Schedule I restrictions but mandates compliance with state rules, allowing temporary suspension if federal agencies take enforcement action against such facilities.
SB 236 requires the Louisiana Department of Health to annually review Medicaid coverage for medications and treatments for chronic and rare kidney diseases, ensuring they meet patient needs. It mandates public input during these reviews and directs the department to partner with kidney disease organizations to boost education and early screening. The bill also requires an annual report to the legislature by January 15 each year, detailing review findings and recommendations. This affects Medicaid enrollees diagnosed with kidney disease in Louisiana by improving access to appropriate care and promoting early detection. The law focuses on systematic reviews and transparency, not changing Medicaid eligibility or funding.
HB 77 requires the Lincoln Parish Clerk of Court to pay 100% of group insurance premiums (including life, health, dental, and medical expense coverage) for qualifying retirees. It directly affects former Lincoln Parish Clerk of Court employees who retire with at least 20 years of full-time service, are age 55 or older, and begin receiving retirement benefits immediately upon retirement. The bill specifically covers standard group insurance plans but excludes supplemental insurance options. This provision is limited to Lincoln Parish and applies only to retirees meeting these exact service and age requirements.
